Organization
DOCTORS HOSPITAL OF WEST COVINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KOO PHARM.D. (PHARMACIST IN CHARGE)
(626) 338-8481
Entity
Organization
Contact information
Practice address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
Mailing address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HSP36739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB367390
—
CA
Enumeration date
09/19/2005
Last updated
08/22/2020
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